Effect Of Health Qigong-yijinjing On Fibromyalgia Syndrome

This dissertation includes two parts, i.e. literature research and clinical research.Literature research:with its popularity, health qigong, which has the functions of adjusting mind, spirit and breath, has been applied to prevention and treatment of diseases and has achieved good effects. This part is focused on cognition on relative literatures to sum up pathogenesis, evaluation and approaches to treatment on Fibromyalgia Syndrome (FS) as well as the review of Health qigong-Yijinjing. The design of clinical research, observing data and experimental method were established based on these literatures.Clinical reseach:Objective:to evaluate the influence of Health qigong-Yijinjing on primary FS by observing the change of data concerned.Method:59 patients with primary FS were divided into 3 groups including medication group (M, n=20), medication and Yijinjing exercise (MY, n=19) and Yijinjing exercise group (Y, n=20). Group M took Amitriptyline HCl, once daily for 3 months, and accepted cognitive-behavioral therapy. Group MY accepted the same intervention methods as group M and Yijinjing exercise, twice daily for 3 months. Group Y had Yijinjing exercise and accepted cognitive-behavioral therapy same as Group MY without any meidcation. Visual analog scale (VAS), Hamilton depression scale (HAMD) and Athens insomnia scale (AIS) were used to evaluate the change of patients' main symptoms and signs. Moreover, Fibromyalgia impact questionnaire (FIQ), the number of tender points and potential side effects were evaluated. The efficacy was evaluated by the data above.Result:For three groups, there were significant changes after respective intervention in terms of the scores of VAS, HAMD, AIS, FIQ and the number of tender points. Group MY achieved the best efficacy and had significant difference, comparing group M and Y. There was no significant difference between group M and Y in terms of the scores of VAS and FIQ and the number of tender points. As for the scores of HAMD and AIS, the efficacy of group M is obviously better than group Y. There was significant difference among group M, MY and Y. There was no side effect occurred in group Y. Group MY had obviously lower occurrence than group M.Conclusion:Health qigong-Yijinjing exercise could enhance the efficacy of medication and cognitive-behavioral therapy and reduce the side effect of Amitriptyline, therefore it is a better choice for patients with primary FS to take Amitriptyline, cognitive-behavioral therapy and Yijinjing exercise. Although the efficacy of cognitive-behavioral therapy and Yijinjing exercise, which had no side effect, was a little worse than that of the combination of the three interventions, it can be a choice for FS.